Male Death Registration: Year: 1971 number: 5327
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005327
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Stevens, Harold Gardner
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 3 14, 1889
10. AGE in Years82 Months5 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Trust Office
13. Date last worked 14. Total years
15. If married name of spouse Beatrice
16. NAME of Father Gardner Stevens
17. BIRTHPLACE Quebec
18. NAME of Mother Ellen Foster
19. BIRTHPLACE Quebec
20. Signature of Informant Mr. H.G. Stevens
address 5915 Balmoral Rd., Hfx.
Relationship to deceased Son
21. Place of burial Fairview, Hfx.
Date of burial Sept 9, 1971
22. Undertaker Snow & Co. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 7, 1971
CAUSE OF DEATH
(a) Cancer Bladder with metastases
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497401
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